Individual
JHAVONNE TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3035 NW 63RD ST STE 200, OKLAHOMA CITY, OK 73116-3606
(405) 242-2242
Mailing address
1901 BREAKERS WEST BLVD, OKLAHOMA CITY, OK 73128-7014
(405) 532-0948
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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